Provider Demographics
NPI:1811915333
Name:TRINH, NINA X (MD)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:X
Last Name:TRINH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5451 LA PALMA AVE
Mailing Address - Street 2:SUITE 25
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1728
Mailing Address - Country:US
Mailing Address - Phone:714-670-1340
Mailing Address - Fax:714-443-3780
Practice Address - Street 1:5451 LA PALMA AVE
Practice Address - Street 2:SUITE 25
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1728
Practice Address - Country:US
Practice Address - Phone:714-670-1340
Practice Address - Fax:714-443-3780
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64931207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADA5312OtherRAILROAD MEDICARE
CAA64931OtherSTATE LICENSE NUMBER
CA00A649310Medicaid
CA00A649310Medicaid
CABT5878749OtherDEA #
CAWA64931CMedicare PIN
CAWA64931BMedicare PIN